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  • Skin Care
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  • Seasonal Health
  • Smoking Cessation
  • Travel Health Clinic
  • Travel Vaccination Service
  • Vaccination Service
  • Weight Loss Treatments
  • Women's Health
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  • Acne
  • Aesthetics Service
  • Common Ailment NHS Scheme
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Trade account opening form

Fill out the form below and we will contact you within 48 hours once your account has been set up.

By submitting this form, you agree to the processing and storage of your personal information as set out in our Trade Account Privacy Policy. * Mandatory field

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Professional in Charge

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Business Details

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Delivery Address

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Company Personnel

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Accounts Contact Details

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Credentials

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Copy of Indemnity Insurance

Please make sure that the expiry date of your insurance is visable on the documents that you upload

Prescriber Details

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Seren Plus. MHRA site number: 40635. GPHC registration: 1092601.
Registered address: Churchgate house, Church road, Cardiff, CF14 2DX. Company House: 07767695. VAT: GB125263926.

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Registration Number: 10926012024 Health Plus Pharmacy. All rights reserved.